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Total Number of Holdings (excluding cash): 76
| Acadia Healthcare Company, Inc. |
ACHC |
00404A109 |
Health Care Providers |
1,423,762 |
$33,372,981.28 |
3.61% |
| HCA Healthcare, Inc. |
HCA |
40412C101 |
Health Care Providers |
43,275 |
$22,922,767.50 |
2.48% |
| Cardinal Health, Inc. |
CAH |
14149Y108 |
Pharmaceuticals and Biotechnology |
98,314 |
$22,536,518.22 |
2.44% |
| Pfizer Inc. |
PFE |
717081103 |
Pharmaceuticals and Biotechnology |
811,371 |
$22,434,408.15 |
2.42% |
| Biogen Inc. |
BIIB |
09062X103 |
Pharmaceuticals and Biotechnology |
114,797 |
$22,020,360.54 |
2.38% |
| Incyte Corporation |
INCY |
45337C102 |
Pharmaceuticals and Biotechnology |
204,550 |
$20,714,778.50 |
2.24% |
| Ionis Pharmaceuticals, Inc. |
IONS |
462222100 |
Pharmaceuticals and Biotechnology |
255,382 |
$20,724,249.30 |
2.24% |
| Organon & Co. |
OGN |
68622V106 |
Pharmaceuticals and Biotechnology |
2,817,731 |
$20,541,258.99 |
2.22% |
| Eli Lilly and Company |
LLY |
532457108 |
Pharmaceuticals and Biotechnology |
18,800 |
$19,777,412.00 |
2.14% |
| Amgen Inc. |
AMGN |
031162100 |
Pharmaceuticals and Biotechnology |
49,377 |
$19,166,176.32 |
2.07% |
| Universal Health Services, Inc. (Class B) |
UHS |
913903100 |
Health Care Providers |
92,665 |
$19,098,256.50 |
2.06% |
| Merck & Co., Inc. |
MRK |
58933Y105 |
Pharmaceuticals and Biotechnology |
153,547 |
$19,012,189.54 |
2.05% |
| Solventum Corporation |
SOLV |
83444M101 |
Medical Equipment and Services |
254,959 |
$18,917,957.80 |
2.04% |
| Natera, Inc. |
NTRA |
632307104 |
Medical Equipment and Services |
88,187 |
$18,346,423.48 |
1.98% |
| Molina Healthcare, Inc. |
MOH |
60855R100 |
Health Care Providers |
116,419 |
$17,934,346.95 |
1.94% |
| Penumbra, Inc. |
PEN |
70975L107 |
Medical Equipment and Services |
51,984 |
$17,902,769.76 |
1.93% |
| Zimmer Biomet Holdings, Inc. |
ZBH |
98956P102 |
Medical Equipment and Services |
179,746 |
$17,694,196.24 |
1.91% |
| Insmed Incorporated |
INSM |
457669307 |
Pharmaceuticals and Biotechnology |
116,084 |
$17,334,823.72 |
1.87% |
| The Cigna Group |
CI |
125523100 |
Health Care Providers |
58,726 |
$17,019,969.32 |
1.84% |
| United Therapeutics Corporation |
UTHR |
91307C102 |
Pharmaceuticals and Biotechnology |
33,169 |
$16,713,859.10 |
1.81% |
| Regeneron Pharmaceuticals, Inc. |
REGN |
75886F107 |
Pharmaceuticals and Biotechnology |
20,938 |
$16,366,606.46 |
1.77% |
| Medpace Holdings, Inc. |
MEDP |
58506Q109 |
Pharmaceuticals and Biotechnology |
35,972 |
$16,250,710.72 |
1.76% |
| IDEXX Laboratories, Inc. |
IDXX |
45168D104 |
Medical Equipment and Services |
23,892 |
$15,690,593.16 |
1.70% |
| Perrigo Company Plc |
PRGO |
G97822103 |
Pharmaceuticals and Biotechnology |
1,161,098 |
$15,349,715.56 |
1.66% |
| Abbott Laboratories |
ABT |
002824100 |
Medical Equipment and Services |
129,003 |
$15,009,499.05 |
1.62% |
| Sotera Health Company |
SHC |
83601L102 |
Medical Equipment and Services |
916,239 |
$14,888,883.75 |
1.61% |
| Quest Diagnostics Incorporated |
DGX |
74834L100 |
Medical Equipment and Services |
69,857 |
$14,803,396.87 |
1.60% |
| Elevance Health Inc. |
ELV |
036752103 |
Health Care Providers |
46,106 |
$14,753,920.00 |
1.59% |
| Gilead Sciences, Inc. |
GILD |
375558103 |
Pharmaceuticals and Biotechnology |
98,761 |
$14,710,450.95 |
1.59% |
| Tenet Healthcare Corporation |
THC |
88033G407 |
Health Care Providers |
60,998 |
$14,602,311.22 |
1.58% |
| Bristol-Myers Squibb Company |
BMY |
110122108 |
Pharmaceuticals and Biotechnology |
224,732 |
$14,016,534.84 |
1.51% |
| Labcorp Holdings Inc. |
LH |
504922105 |
Medical Equipment and Services |
48,317 |
$13,969,411.04 |
1.51% |
| Apellis Pharmaceuticals, Inc. |
APLS |
03753U106 |
Pharmaceuticals and Biotechnology |
643,410 |
$13,485,873.60 |
1.46% |
| QIAGEN N.V. |
QGEN |
N72482156 |
Medical Equipment and Services |
269,106 |
$13,401,478.80 |
1.45% |
| Globus Medical, Inc. (Class A) |
GMED |
379577208 |
Medical Equipment and Services |
138,838 |
$13,253,475.48 |
1.43% |
| Repligen Corporation |
RGEN |
759916109 |
Medical Equipment and Services |
98,638 |
$12,697,669.74 |
1.37% |
| BioMarin Pharmaceutical Inc. |
BMRN |
09061G101 |
Pharmaceuticals and Biotechnology |
203,968 |
$12,590,944.64 |
1.36% |
| Sarepta Therapeutics, Inc. |
SRPT |
803607100 |
Pharmaceuticals and Biotechnology |
751,044 |
$12,587,497.44 |
1.36% |
| Halozyme Therapeutics, Inc. |
HALO |
40637H109 |
Pharmaceuticals and Biotechnology |
180,116 |
$12,523,465.48 |
1.35% |
| Encompass Health Corporation |
EHC |
29261A100 |
Health Care Providers |
114,208 |
$12,320,759.04 |
1.33% |
| Exelixis, Inc. |
EXEL |
30161Q104 |
Pharmaceuticals and Biotechnology |
276,569 |
$12,185,630.14 |
1.32% |
| Chemed Corporation |
CHE |
16359R103 |
Health Care Providers |
28,333 |
$11,616,813.33 |
1.26% |
| Neurocrine Biosciences, Inc. |
NBIX |
64125C109 |
Pharmaceuticals and Biotechnology |
85,465 |
$11,302,746.25 |
1.22% |
| Intuitive Surgical, Inc. |
ISRG |
46120E602 |
Medical Equipment and Services |
21,401 |
$10,775,617.51 |
1.16% |
| Alnylam Pharmaceuticals, Inc. |
ALNY |
02043Q107 |
Pharmaceuticals and Biotechnology |
30,482 |
$10,148,067.44 |
1.10% |
| Align Technology, Inc. |
ALGN |
016255101 |
Medical Equipment and Services |
51,755 |
$9,838,625.50 |
1.06% |
| Johnson & Johnson |
JNJ |
478160104 |
Pharmaceuticals and Biotechnology |
39,047 |
$9,700,446.21 |
1.05% |
| Becton, Dickinson and Company |
BDX |
075887109 |
Medical Equipment and Services |
52,910 |
$9,337,556.80 |
1.01% |
| Vertex Pharmaceuticals Incorporated |
VRTX |
92532F100 |
Pharmaceuticals and Biotechnology |
17,826 |
$8,856,491.58 |
0.96% |
| Henry Schein, Inc. |
HSIC |
806407102 |
Medical Equipment and Services |
106,926 |
$8,809,633.14 |
0.95% |
| ResMed Inc. |
RMD |
761152107 |
Medical Equipment and Services |
33,551 |
$8,597,779.26 |
0.93% |
| Zoetis Inc. |
ZTS |
98978V103 |
Pharmaceuticals and Biotechnology |
64,228 |
$8,420,290.80 |
0.91% |
| GE HealthCare Technologies Inc. |
GEHC |
36266G107 |
Medical Equipment and Services |
98,526 |
$8,302,786.02 |
0.90% |
| AbbVie Inc. |
ABBV |
00287Y109 |
Pharmaceuticals and Biotechnology |
35,371 |
$8,208,901.68 |
0.89% |
| Medtronic Plc |
MDT |
G5960L103 |
Medical Equipment and Services |
84,128 |
$8,215,940.48 |
0.89% |
| Revvity, Inc. |
RVTY |
714046109 |
Medical Equipment and Services |
83,529 |
$8,211,735.99 |
0.89% |
| UnitedHealth Group Incorporated |
UNH |
91324P102 |
Health Care Providers |
24,480 |
$7,179,249.60 |
0.78% |
| Waters Corporation |
WAT |
941848103 |
Medical Equipment and Services |
21,272 |
$6,793,851.36 |
0.73% |
| Certara, Inc. |
CERT |
15687V109 |
Medical Equipment and Services |
917,283 |
$6,494,363.64 |
0.70% |
| Humana Inc. |
HUM |
444859102 |
Health Care Providers |
31,554 |
$6,012,299.16 |
0.65% |
| Royalty Pharma Plc (Class A) |
RPRX |
G7709Q104 |
Pharmaceuticals and Biotechnology |
98,033 |
$4,530,104.93 |
0.49% |
| Elanco Animal Health Incorporated |
ELAN |
28414H103 |
Pharmaceuticals and Biotechnology |
167,391 |
$4,419,122.40 |
0.48% |
| Baxter International Inc. |
BAX |
071813109 |
Medical Equipment and Services |
198,224 |
$4,037,822.88 |
0.44% |
| Edwards Lifesciences Corporation |
EW |
28176E108 |
Medical Equipment and Services |
44,438 |
$3,842,553.86 |
0.42% |
| Illumina, Inc. |
ILMN |
452327109 |
Pharmaceuticals and Biotechnology |
28,879 |
$3,883,070.34 |
0.42% |
| The Cooper Companies, Inc. |
COO |
216648501 |
Medical Equipment and Services |
46,217 |
$3,866,976.39 |
0.42% |
| Steris Plc |
STE |
G8473T100 |
Medical Equipment and Services |
14,942 |
$3,770,613.70 |
0.41% |
| Viking Therapeutics, Inc. |
VKTX |
92686J106 |
Pharmaceuticals and Biotechnology |
107,679 |
$3,643,857.36 |
0.39% |
| West Pharmaceutical Services, Inc. |
WST |
955306105 |
Medical Equipment and Services |
13,765 |
$3,500,990.10 |
0.38% |
| Agilent Technologies, Inc. |
A |
00846U101 |
Medical Equipment and Services |
27,840 |
$3,379,219.20 |
0.37% |
| Tempus AI, Inc. (Class A) |
TEM |
88023B103 |
Pharmaceuticals and Biotechnology |
64,153 |
$3,416,147.25 |
0.37% |
| Thermo Fisher Scientific Inc. |
TMO |
883556102 |
Medical Equipment and Services |
6,538 |
$3,407,017.18 |
0.37% |
| Insulet Corporation |
PODD |
45784P101 |
Medical Equipment and Services |
13,326 |
$3,286,324.86 |
0.36% |
| Boston Scientific Corporation |
BSX |
101137107 |
Medical Equipment and Services |
39,728 |
$3,053,096.80 |
0.33% |
| Veeva Systems Inc. (Class A) |
VEEV |
922475108 |
Health Care Providers |
16,968 |
$3,088,345.68 |
0.33% |
| Inspire Medical Systems, Inc. |
INSP |
457730109 |
Medical Equipment and Services |
41,074 |
$2,649,683.74 |
0.29% |
| US Dollar |
$USD |
|
Other |
1,167,672 |
$1,167,672.48 |
0.13% |
Holdings are subject to change.
The holdings information set forth above for the date indicated reflects creation and redemption transactions from the prior business day and may differ from the holdings information currently available from the Fund's custodian and accounting agent. With respect to the market value of the Fund's holdings set forth above, the pricing sources are generally third party vendors. The Fund ultimately relies on pricing information provided by the Fund's accounting agent.
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The information presented is not intended to constitute an investment recommendation for, or advice to, any specific person. By providing this information, First Trust is not undertaking to give advice in any fiduciary capacity within the meaning of ERISA, the Internal Revenue Code or any other regulatory framework. Financial professionals are responsible for evaluating investment risks independently and for exercising independent judgment in determining whether investments are appropriate for their clients.
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